ESOS Enquiry Form

The purpose of the ESOS Enquiry Form is to provide general advice and assistance to persons on provider obligations and students rights
pertaining to the ESOS legislative framework administered by the Department of Education, Employment and Workplace Relations (DEEWR).
The Department does not give legal advice.

Before you complete this form, please see these links to common areas of enquiry where you may be able to find information relevant to
your enquiry. Information sheets regarding provider closures can be found here.

Please provide the following information to enable DEEWR to respond to your question, complaint or refund claim.
Please note: Required fields are shown with *. The information you input into this form will be forwarded to the appropriate area
who will attend to the matter as soon as possible, you should expect an initial reply within five working days.

Your Enquiry:
Your Role*:	Student Provider Friend / Relative Government Department Agent Other
Enquiry Type*:	Question Complaint Refund Claim

Your Contact Details:

Given Name*:
Family Name*:
Contact Email*:	*must be a valid email address
Daytime Telephone*:

Student Details (if applicable):

Are the student contact details the same as the contact details provided above? yesno
Student Given Name:
Student Family Name:

Student Date of Birth:	September 2010 M T W T F S S 36 30 31 1 2 3 4 5 37 6 7 8 9 10 11 12 38 13 14 15 16 17 18 19 39 20 21 22 23 24 25 26 40 27 28 29 30 1 2 3 41 4 5 6 7 8 9 10
Student CoE #:		Student ID #:

Provider Details (if applicable):

Provider:

State/Territory:

ACT NSW NT QLD SA TAS VIC WA

CRICOS #:

Form Validation*:

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